Abstract
This chapter outlines the policies and procedures for conduction of hospital autopsies. The described policies and procedures are intended to be compliant with the College of American Pathologists Laboratory Accreditation Program and the ACGME Residency Review Committee requirements for training programs. The chapter contains an explanation of the process for determining involvement with medical–legal authorities. There is a list of standard criteria for establishing validity of the informed consent, followed by procedures for review of the medical history, and determination of need for ancillary clinical laboratory testing. The autopsy procedure is covered from beginning to end, with dissection techniques for removing the organs, examining the organs, and submitting histologic blocks. The discussion includes suggestions for descriptive terminology of gross autopsy findings, with emphasis on describing findings that are in the body before removing the organs. The chapter concludes with a discussion of the final autopsy report, death certificate, and RRC Case Log.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
General References
Clark SC, Ernst MF, Haglund WD, Jentzen FM, eds. Medicolegal Death Investigator: A Systematic Training Program for the Professional Death Investigator. Big Rapids, MI: Occupational Research and Assessment (for the National Association of Medical Examiners); 1996.
Collins KA, Hutchins GM, eds. Autopsy Performance and Reporting. 2nd ed. Northfield, IL: College of American Pathologists;2003.
Diagrams of body topography, organ systems, and individual organs are publicly available from the Office of the Armed Forces Medical Examiner (OAFME), through the web site for the Armed Forces Medical Examiner Service (AFMES) at the Armed Forces Institute of Pathology (AFIP), accessed at: http://www.afip.org/consultation/AFMES/forms/index.html
Finkbeiner WE, Ursell PC, Davis RL, eds. Autopsy Pathology: A Manual and Atlas. Philadelphia, PA: Churchill Livingstone;2004.
Gilbert-Barness E, Kapur R, Oligny LL, Siebert J, eds. Potter’s Pathology of the Fetur, Infant and Child. 2nd ed. St. Louis, MO: Mosby (Elseview B.V.);2007.
Gorina Y, Lentzner H . Multiple causes of death in old age. Aging Trends, February 2008, Centers for Disease Control and Prevention, National Center for Health Statistics, U.S. Dept. of Health and Human Services, accessed at http://www.cdc.gov/nchs/agingact.htm
Gray F, De Girolami U, Poirier J, eds. Escourelle and Poirier’s Manual of Basic Neuropathology. 4th ed. Oxford, UK: Butterworth-Heinemann (Elsevier Science);2003.
Hoyert DL, Kung HC, Xu J, and the Division of Vital Statistics: Autopsy patterns in 2003: Data on mortality. Centers for Disease Control and Prevention, National Center for Health Statistics, U.S. Dept. of Health and Human Services, 2007, series 20, number 32, DHHS publ. no. (PHS) 2007-1851.
Ludwig J, ed. Handbook of Autopsy Practice. 3rd ed. Totowa, NJ: Humana Press;2002.
National Association of Medical Examiners: Policy and Guidelines on Human Organ and Tissue Procurement, 2002 Aug., accessed at Position Papers, http://www.thename.org
The Laboratory Accreditation requirements for autopsy services are from the College of American Pathologists, Commission on Laboratory Accreditation, Laboratory Accreditation Program, Anatomic Pathology Checklist, accessed at http://www.cap.org
The Residency Review Committee requirements for autopsy service are from the Residency Review Committee (RRC) of the Accreditation Council for Graduate Medical Education accessed at http://www.acgme.org/acWebsite/downloads/RRC_progReq/300pathology_07012007.pdf
Journal Articles
College of American Pathologists Conference XXIX: Restructuring Autopsy Practice for Health Care Reform. A compendium of articles from the May 1995 Conference, Arch Pathol Lab Med 1996; 120:693–785.
Ironside JW, Bell JE. The “high-risk” neuropathological autopsy in AIDS and Creutzfeldt–Jacob disease: principles and practice. Neuropathol Appl Neurobiol 1996; 22:388–393.
National Guidelines for Death Investigation, by the National Medicolegal Review Panel, 1997 Dec, National Institute of Justice, Office of Justice Programs, U.S. Dept. of Justice, publ. no. NCJ 167568, available at http://www.ncjrs.org
Powers JM and the Autopsy Committee of the College of American Pathologists: Practice guidelines for autopsy pathology: Autopsy procedures for brain, spinal cord, and neuromuscular system. Arch Pathol Lab Med 1995; 119:777–783.
Randall BB, Fierro MF, Froede RC, and the Forensic Pathology Committee of the College of American Pathologists: Practice guidelines for forensic pathology. Arch Pathol Lab Med 1998; 122:1056–1064.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Hawley, D. (2011). Autopsy. In: Cheng, L., Bostwick, D. (eds) Essentials of Anatomic Pathology. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6043-6_8
Download citation
DOI: https://doi.org/10.1007/978-1-4419-6043-6_8
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4419-6042-9
Online ISBN: 978-1-4419-6043-6
eBook Packages: MedicineMedicine (R0)